Treatise
Effects of three-level comprehensive interventionin of family, community and societyon improving the physical and mental health in empty nest disabled elderly
Chang Wenhong, Song Qiong, Chen Changxiang, An Siqi
Published 2019-01-01
Cite as Chin J Prac Nurs, 2019, 35(1): 11-16. DOI: 10.3760/cma.j.issn.1672-7088.2019.01.003
Abstract
ObjectiveTo investigate the effects of three-level comprehensive interventionof family, community and society on physical and mental health of empty nest disabled elderly.
MethodsFrom February 2017 to July 2017, the empty nest elderly aged more than 75 years old and daily life ability scale score ≥14 from two communities under 10 community health service centers directly subordinate toTangshanWorker′s Hospital and Hongci Hospital were randomly selected, thenthey were divided into theintervention group andthe control group with 50 persons each. The control group was given blank control, and the intervention group was given a 6-month intervention based on the theory of healthy ecology. The intervention consisted of threes-level of family, community and society, each aspect included four aspects such as daily life, environmental safety, medical care and spiritual comfort. Six months later, the Health Promotion Lifestyle Scale, the Comprehensive Frailty Assessment Instrument, Loneliness Scale, Perceived Social Support from Family Scale, Social Support Rating Scale, Activityof Daily Living Scalewere used to evaluate.
ResultsSixmonths later, the scores of health promotion behavior (114.44±6.14), family support (9.16±0.93) and social support (30.06±1.48) in the intervention group were higher than those in the control group(t=45.363, 21.672, 64.046, P<0.01); the scores of frailty(35.96±3.71), loneliness (34.94±4.13) and ADL (20.88±1.49) in the intervention group were lower than those before intervention (t=28.946, -31.295, -18.886, P<0.01).
ConclusionsThecomprehensive intervention in three-level of family, community and society based on the theory of ecology health can improve the support of empty nest disabled elderly, reduce loneliness and weakness, improve the health promotion behavior and daily life ability of empty nest elderly, and promote physical and mental health.
Key words:
Health ecology; Empty nest; Disability; Elderly persons; Theory of health ecology
Contributor Information
Chang Wenhong
Department of Interventional Therapy, Tangshan Worker′s Hospital, Tangshan 063000, China
Song Qiong
College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China
Chen Changxiang
College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China
An Siqi
College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China
